NPI | 1952890618 |
---|---|
Doing Business As | RIVERBIRCH THERAPY |
Entity Type | Organization |
Authorized Contact | CAITLIN MOSMAN BLOCK Licensed Professional Counselor 608-512-0461 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WI 6129-125) |
Enumeration Date | 2018-05-08 |
Last Update Date | 2018-05-08 |