| NPI | 1558874420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MEYER President & CEO 262-303-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-02-21 |