| NPI | 1730439977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD MATTHEW ROHERTY Owner/Counseling Psychologist 262-334-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2435-57) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-11-30 |