NPI | 1306070032 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON ANDREW PECKELS President 414-801-7905 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 060010196) |
Enumeration Date | 2009-05-09 |
Last Update Date | 2009-05-09 |