| NPI | 1497982045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEIA JONES Owner, Psychotherapist 414-455-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2021-01-07 |