NPI | 1083932263 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD C. CAMPBELL President / CEO 414-831-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261Q00000X Clinic/Center |
103T00000X Psychologist | |
Enumeration Date | 2010-05-12 |
Last Update Date | 2015-01-07 |