| NPI | 1912776253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M LIBERSKI Office Manager 414-426-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-05-21 |