NPI | 1639343320 |
---|---|
Former Legal Business Name | SAINTA |
Entity Type | Organization |
Authorized Contact | JODY ANN PAHLAVAN Vice President Of Clinical Services 414-463-1880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2023-04-06 |