| NPI | 1922249929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A. MODELL Director/Co Owner 414-962-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7439-123) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |