| NPI | 1457185852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE M FORS SPAHR Clinical Psychologist 262-261-4698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |