| NPI | 1942334297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL JAY ROSENBEG Administrator 608-833-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 934) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-08-05 |