| NPI | 1134345341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIKA WASHINGTON N WASHINGTON Clinical Supervisor 414-342-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2331) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |