| NPI | 1083813224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WESTRATE Treasurer 262-554-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1575) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1575) |
| 101YP2500X Counselor, Professional (Licence: WI 1575) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-26 |