| NPI | 1033215025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LUECK Owner/Administrator 414-771-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: WI HFS 61.91) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |