| NPI | 1730530239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA LACOLE CHRISTIAN CEO 414-881-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: WI 0015974) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2016-06-26 |