| NPI | 1588909923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G MLODZIK CEO 414-324-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012902) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 27402) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000729) | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2023-08-18 |