| NPI | 1336214543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH NICHOLS Director 262-654-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2026-06-24 |