| NPI | 1902098957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JAMES HODULIK President 608-238-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 41061-021) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 1898-057) |
| 103TC0700X Psychologist, Clinical (Licence: WI 1064-057) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 522-123) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 22400-020) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 1085-123) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 3257-123) | |
| 103TC0700X Psychologist, Clinical (Licence: WI 2284-057) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 7213-123) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 504-123) | |
| 103TC0700X Psychologist, Clinical (Licence: WI 2155-057) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 391-123) | |
| 103TC0700X Psychologist, Clinical (Licence: WI 1993-057) | |
| 103TC1900X Psychologist, Counseling (Licence: WI 920-057) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-07-28 |