| NPI | 1568404671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BUMBER Director Of Operations 262-547-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-05-28 |