| NPI | 1962128322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MAE JENNEMAN Lcsw/Owner 715-828-3721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2025-08-20 |