| NPI | 1730477688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA SHERIE ARMON-BENT Chief Executive Officer 414-374-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2944) |
| 101YM0800X Counselor, Mental Health (Licence: WI 2944) | |
| 101YP2500X Counselor, Professional (Licence: WI 2944) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: WI 2944) | |
| 106H00000X Marriage & Family Therapist (Licence: WI 2944) | |
| 291U00000X Clinical Medical Laboratory (Licence: WI 2944) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2022-11-08 |