| NPI | 1386784742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B. HAL DESSEL Owner, Clinic Director 414-221-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1775) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-23 |