| NPI | 1407925985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA K BRICENO Administrator 414-962-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1497) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |