| NPI | 1912612367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND MCCLAIN Director 414-249-8756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 171400000X Health & Wellness Coach | |
| 172A00000X Driver | |
| 251B00000X Case Management | |
| 372600000X Adult Companion | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-09-22 |