| NPI | 1811786924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BRUNZELLE President 262-955-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |