| NPI | 1609814367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUCKLEY F MEADE Owner Program Director 414-427-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-06-27 |