| NPI | 1689343097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANDA CHAMBERS Executive Director/Clinical Sup 414-380-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-05-02 |