| NPI | 1700612934 |
|---|---|
| Doing Business As | EMERGE SURF AND SOMATIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARIE MATHES Owner 920-286-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |