| NPI | 1598565558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALYN VAVAL CEO 608-820-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |