| NPI | 1881813913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD HOFFE Director 608-796-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1415) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 10073581CDT) |
| 101YM0800X Counselor, Mental Health (Licence: WI 1415) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |