NPI | 1215278718 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF KAZMIERCZAK CEO President 414-861-1688 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2013-03-07 |
Last Update Date | 2013-03-08 |