| NPI | 1699164483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SIMS NGOLA Licensed Clinical Social Worker 608-239-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 6967-123) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |