| NPI | 1316023377 |
|---|---|
| Doing Business As | A HEALING CENTER |
| Entity Type | Organization |
| Authorized Contact | JO ANN MARY COOPER Psychologist 262-821-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1001) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |