| NPI | 1710874789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLSHAN MOTAMEDI Owner, Psychotherapist 608-301-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-21 |
| Last Update Date | 2025-08-18 |