| NPI | 1811776727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MEYER President & CEO 262-303-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-07-24 |