| NPI | 1720586761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA MCNAIR Owner, Service Director 608-268-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2021-12-20 |