| NPI | 1255790630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLVITA BORG Manager/Admin 262-244-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2018-10-11 |