| NPI | 1760928378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HARLEY Licensed Professional Counselor 920-574-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5607-125) |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2017-01-07 |