| NPI | 1811340136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEIA JONES CEO, Supervisor 414-455-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2147226) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |