| NPI | 1154469773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C. FRINGER Clinic Director 414-453-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |