| NPI | 1174320634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE QUNEE' ALLEN Pmhnp 414-795-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |