| NPI | 1194674523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA EDWARDS Licensed Clinical Social Worker 414-293-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-07-29 |