| NPI | 1700336419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABE FREUND Member 414-871-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-11-03 |