NPI | 1053882373 |
---|---|
Entity Type | Organization |
Authorized Contact | AZIZA O DAHER Owner/President 414-247-9005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2018-12-14 |
Last Update Date | 2021-10-04 |