| NPI | 1841438769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERON MILLS Owner/President 414-881-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |