| NPI | 1215195623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STERLON WHITE Authorized Official 414-263-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |