| NPI | 1689063588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JONES Owner/Therapist 920-988-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016836) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |