| NPI | 1285181735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA DENISE HAYDEN Behavioral Health Student 414-745-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 129104121) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |