| NPI | 1275586323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE WHITMORE Director 262-634-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 2220) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-04-20 |