| NPI | 1942063482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH MATTISON Owner, Lcsw 608-481-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |