NPI | 1790958106 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL M CORNALE Director 262-567-4560 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1313) |
Enumeration Date | 2008-04-07 |
Last Update Date | 2008-04-07 |