| NPI | 1467595785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROBERT ZIGUN Medical Director 414-444-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-01-24 |