| NPI | 1659446672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA TREGLOWNE COO 414-246-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2872) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2025-01-06 |