| NPI | 1538685854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY REE MCCOLLUM Owner/Director 414-630-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8345-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |