| NPI | 1609937051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JAY EHRKE Managing Member 414-278-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-12-07 |