| NPI | 1770634370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B ROBERTS President 608-783-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1435) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-03-05 |