| NPI | 1891976478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CHELESE MCCLENDON President/Director 414-397-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-11-24 |
| Last Update Date | 2007-11-24 |