| NPI | 1972120558 |
|---|---|
| Former Legal Business Name | WAYSTATION COUNSELING AND WELLNESS CENTER |
| Former Legal Business Name | PATRICIA LOCKHART |
| Entity Type | Organization |
| Authorized Contact | JULIE KORNOWSKI CFO 920-360-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2021-12-27 |