| NPI | 1225061997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. HUBBARD Director 262-782-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |