| NPI | 1932279593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PATTI Office Manager 608-270-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1685) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-06-04 |