| NPI | 1689149700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD BIRT Psychotherapist 414-522-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2022-04-26 |