NPI | 1619344686 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA NICOLE FRANCIS Owner 414-416-5168 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 5572-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5572-125) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2022-01-08 |