| NPI | 1609532530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE LARSON Owner 608-856-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2024-07-08 |