| NPI | 1619011046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN L SSEMPIJJA Clinic Director 414-915-2967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WI 1784-057) |
| 103TC0700X Psychologist, Clinical (Licence: WI 1784-057) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 1784-057) | |
| 104100000X Social Worker (Licence: WI 126576-121) | |
| 104100000X Social Worker (Licence: WI 3079-123) | |
| 104100000X Social Worker (Licence: WI 302-123) | |
| 104100000X Social Worker (Licence: WI 160-123) | |
| 171R00000X Interpreter | |
| 103T00000X Psychologist (Licence: WI 1784-057) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2023-07-20 |