| NPI | 1639310477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE CECILIA GRAMLING Psychologist 414-510-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: WI 802-057) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-09-04 |