| NPI | 1518167477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELAHATTIN S. KURTER Executive Director 414-810-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WI 2318) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2024-11-12 |