| NPI | 1033343868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L YONKOSKI Director Of Outpatient Services 414-342-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2334) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-07-01 |