| NPI | 1649677154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE V ZELLNER Social Worker 414-522-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7751-123) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2023-11-29 |