| NPI | 1649147240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DILLON Owner 414-553-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |