| NPI | 1821398736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M MILLER President/ Provider 608-563-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2864-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15139-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15375-135) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2017-01-25 |