| NPI | 1619344686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA NICOLE FRANCIS Owner 262-422-6763 |
| 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 | 2025-09-19 |