| NPI | 1255112751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUNTEL WEBB Owner 414-865-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-03-26 |