| NPI | 1083490726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELAINIE R TUGGLE Licensed Clinical Social Worker 414-263-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-27 |