| NPI | 1295139012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY GIANNOPOULOS Psychotherapist 414-331-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 7779-123) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |