| NPI | 1073731618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BAILET President 414-647-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-03-24 |