| NPI | 1538820790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P HARKIN Medical Director 262-946-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2022-01-09 |