| NPI | 1689089435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA J GOLDEN Compliance & Business Integrity 414-384-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |