| NPI | 1750007290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BENKARD Social Worker 608-469-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |