| NPI | 1871713628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STONER Executive Director 414-964-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI State Mandated) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |