| NPI | 1285237958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIKA NICOLE WASHINGTON Exercutive Director 414-394-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |