| NPI | 1033258116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JOSEPH NIEMIEC Owner President 414-327-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |