| NPI | 1477822534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA SAMPTON FOSSIE President 414-263-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2013-01-03 |