| NPI | 1891391116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELEY WELCH-LAMERS Member 920-239-5018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |