| NPI | 1629687108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE MARIE SWENSON Director & Owner 262-957-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |