| NPI | 1942780432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DAVID PETERSON President And Chief Executive Offic 608-239-8807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 834-124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |