| NPI | 1528486263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN W SUMWALT Director 414-588-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 346-123) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 346-123) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |