| NPI | 1528356375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA RAMOS CEO 414-372-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 291U00000X Clinical Medical Laboratory (Licence: WI 52D2091836) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2015-10-30 |