| NPI | 1306004999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE ORTLOFF Executive Director 414-777-1570 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1465) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1465) |
| 101YM0800X Counselor, Mental Health (Licence: WI 1465) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2014-02-04 |