NPI | 1396595294 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY LYNN KERZNAR Owner 414-554-2930 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-03-25 |
Last Update Date | 2024-03-25 |