| NPI | 1609355452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN NOWAK Professional Counselor / Owner 262-305-9668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6584-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15917-132) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-11-02 |