| NPI | 1922404482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARY KREMER Licensed Clinical Social Worker 414-748-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 7297-123) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |