| NPI | 1427838242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICA SHAVA TIPTON Executive Director 414-610-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |