| NPI | 1477151439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE L TETZLAFF Psychotherapist/Owner 262-719-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-11-11 |