| NPI | 1194809574 |
|---|---|
| Doing Business As | NSPA |
| Entity Type | Organization |
| Authorized Contact | SHERYL DOLEZAL Co Director 414-962-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-05-08 |