| NPI | 1073687349 |
|---|---|
| Former Legal Business Name | MIDWEST CENTER FOR HUMAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | SERENA COURTNEY CLARDIE Partner/Psychotherapist 414-224-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2014-06-10 |