| NPI | 1760233266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M LIBERSKI Contractor And Credentialing 414-426-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |