| NPI | 1962621003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COWELL Director 608-796-0987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2268) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |