| NPI | 1144477043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A LOVO Director Of Human Services 414-649-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X (Licence: WI 1657) |
| 261Q00000X Clinic/Center | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2022-04-29 |