| NPI | 1942094099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN C OETTING Owner/Founder 608-218-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2025-04-05 |
| Last Update Date | 2025-05-20 |