| NPI | 1629111943 |
|---|---|
| Doing Business As | BROTOLOC |
| Entity Type | Organization |
| Authorized Contact | MELANIE BARBEAUX-STINSON Director 262-656-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2605) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |