| NPI | 1881600807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J SHININGER Clinic Director/Psychotherapist 262-284-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-04-16 |