NPI | 1598353682 |
---|---|
Entity Type | Organization |
Authorized Contact | RAQIBA MALIK Chief Executive Officer 414-301-0020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-01-05 |
Last Update Date | 2021-01-05 |