| NPI | 1033661830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB RAEBURN CEO 414-536-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 6102) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |