| NPI | 1669731972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE MICHAEL GUNVILLE Psychotherapist 414-292-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 835-123) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |