| NPI | 1750064283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KLEKAMP Owner, Program Director 608-982-7698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-11-15 |