| NPI | 1881125458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BINGEN Director/Psychotherapist 262-388-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 646-123) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |