| NPI | 1548047681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SIMON Executive Director 262-677-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |