| NPI | 1902078629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY NOWAK Clinical Director 414-327-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2559) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |