| NPI | 1336214543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH NICHOLS Co Director 262-654-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1440) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-11-08 |