| NPI | 1184703290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK MESECK CEO 414-536-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-07-16 |