| NPI | 1780755389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER STROM Director/Manager 262-241-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-11-15 |