| NPI | 1962544353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN FEASTER Exectutive Director 608-663-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI HFs 61.91) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-03-12 |