| NPI | 1194961474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BEYER Revenue Cycle Manager 262-735-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2023-03-17 |