| NPI | 1003274697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MEDEN Executive Director 414-383-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |