| NPI | 1306082219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI PETERNEL Business Administrator 414-858-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3972-125) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |