| NPI | 1497401095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CWIKLA Co Owner 414-828-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-05-23 |