NPI | 1285716308 |
---|---|
Other Name | RAVENSWOOD CLINIC |
Entity Type | Organization |
Authorized Contact | ANTHONY FRANCIS WERTH Executive Director 414-224-0492 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2118) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2014-03-27 |