| NPI | 1306569629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VANN Owner/Psychologist 262-259-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |