| NPI | 1720497308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH KOHNKE President/Owner 414-329-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WI 3048) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-21 |