| NPI | 1861079816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN S SLESAREVA Owner, Behavioral Health Therapist 608-845-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |