| NPI | 1598143059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SEMMANN Operations Director 262-345-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |