| NPI | 1669251856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MEYER President & CEO 262-303-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-05-07 |