| NPI | 1790010718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY TREACY Director 414-265-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2555-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 2555-125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2555-125) | |
| 101YP2500X Counselor, Professional (Licence: WI 2555-125) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |