| NPI | 1356569115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA WOLLIN Owner/Registered Agent 414-302-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 6747-123) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-03-20 |