| NPI | 1033634555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZRIA T PRICE Mental Health/Substance Abuse Couns 262-497-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |