| NPI | 1659579928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA COLLEEN KELLY-MARTINA Executive Co Director 608-424-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2508) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2025-07-15 |