| NPI | 1235647504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM NELSON MORIWAKI Owner 414-403-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 3546-57) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |