| NPI | 1518121037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID DIANN HICKS Clinicla Director 414-933-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 1198) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |