| NPI | 1588198774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE M MEINERS Licensed Professional Counselor 608-215-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |