| NPI | 1912004516 |
|---|---|
| Other Name | SATELLITE OFFICE--715 HILL STREET, MADISON 53705 |
| Entity Type | Organization |
| Authorized Contact | JAMES F MCGLOIN Executive Director 608-231-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 91-123) |
| Enumeration Date | 2006-09-18 |
| Last Update Date | 2015-01-28 |