| NPI | 1730338716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A NELSON Therapist, / Owner 608-780-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 713124) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |