| NPI | 1710608187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA LYZETTA-MARIE SANDERS Director 414-499-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |