| NPI | 1528232386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON PUPP Director Of Counseling 414-231-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2011-11-23 |