| NPI | 1831335827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANTOINETTE ANDRADE President 262-332-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2010-04-14 |