| NPI | 1447501994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKEYA LEE Program Manger 414-573-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |