| NPI | 1750030706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CERISSA WILLS Owner/ Mental Health Therapist 608-228-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2024-08-21 |