| NPI | 1487701645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R BRIGGS President 262-478-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2115) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-09-13 |