| NPI | 1801026935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ALAN LUEBKE Owner 262-249-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3556-123) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2016-12-12 |