| NPI | 1083888382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY OERTER Interim Director Of Counseling 414-266-2912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2013-12-05 |