| NPI | 1467627992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO CHARLES LEO Subtance Abuse Counselor 262-633-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 10570) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |