| NPI | 1770721607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN BERK Sr. Director Of Corporate Services 414-225-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2025-05-08 |