| NPI | 1316496219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE COX Psychotherapist 262-227-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 8128-123) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |