| NPI | 1447687066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA J NEWMAN Executive Director/Therapist 414-559-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8016-123) |
| Additional Taxonomies | 251S00000X (Licence: WI 3101) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2015-11-13 |