| NPI | 1619194297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BUSH Vice President Finance 414-649-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-09-26 |