| NPI | 1821659624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L HENRY Program Accountability Director 414-302-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 102L00000X Psychoanalyst | |
| 104100000X Social Worker | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |