| NPI | 1376086868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GREGORY Owner/Psychologist 262-377-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 3373-57) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |