| NPI | 1972077527 |
|---|---|
| Doing Business As | LOTUS |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL A CONKLE Owner/Therapist 608-618-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-10-16 |