| NPI | 1790328763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. KLIMISCH President 262-564-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |