| NPI | 1053602425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L BIRKENSTOCK Treasurer/Chief Financial Officer 414-266-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2417) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |