| NPI | 1740964972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKELL DANIELS CEO/Lead Therapist 414-628-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |