| NPI | 1730928532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE JO LEE BLESER Owner/Psychologist 920-530-4433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |