| NPI | 1912243288 |
|---|---|
| Doing Business As | SANKOFABCH |
| Entity Type | Organization |
| Authorized Contact | VALERIE V. HENDERSON Director/Clinicial 414-202-9146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 3010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251S00000X | |
| 251B00000X Case Management | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2015-01-29 |