| NPI | 1861958993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA PIASKOSKI Billing Manager 414-837-6391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |