| NPI | 1881627438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN NELSON Treasurer 414-299-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-09-12 |