| NPI | 1508175118 |
|---|---|
| Doing Business As | CITY TRANSFORMATION CLINIC NORTH |
| Entity Type | Organization |
| Authorized Contact | THERESA ANTHONY Executive Director 414-616-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2918) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |