NPI | 1538700471 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY MEYER President & CEO 262-303-0580 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2024-02-21 |