| NPI | 1376942557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A BUCHANAN Owner/Practitioner 414-303-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2064) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |