| NPI | 1598080525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A WOLF Clinical Director 414-727-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1749) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1749) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-05-12 |