NPI | 1669240610 |
---|---|
Entity Type | Organization |
Authorized Contact | NOUSHABA JAFER Owner/President 414-331-6291 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-12-19 |
Last Update Date | 2023-12-19 |