NPI | 1215928049 |
---|---|
Entity Type | Organization |
Authorized Contact | BALFORD FRANCIS Administrator 414-423-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2005-11-01 |
Last Update Date | 2020-08-22 |