AMBER MALL

MADISON, WI
NPI1770012254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-06-08
Last Update Date2017-06-08
Business Address
AMBER MALL SAC-IT
151 E BADGER RD
MADISON, WI 53713-2708
Phone number: 608-250-2512
Mailing Address
AMBER MALL SAC-IT
212 14TH AVE
NEW GLARUS, WI 53574-9703
Phone number: 608-219-5347