| NPI | 1326179987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW SEAN MCCARTHY President 262-842-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 49892) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2012-08-03 |