| NPI | 1912552878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN M MERKER Executive Director 608-513-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |