| NPI | 1801818950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER P BEYER Clinic Administrator 262-542-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1368-123) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-02-29 |