| NPI | 1831596915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CAJOLET-ECKHARDT Licensed Clinical Psychologist 262-515-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |