| NPI | 1760718886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A CASALI Co Director 608-848-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1741-125) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |