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 |