| NPI | 1417722620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW C RYAN Chairman 414-788-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |