| NPI | 1144417304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL DALE Psychoterapist 414-466-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI HFS 61.91) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-08-26 |