| NPI | 1942718762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE B SCHULLER CEO 414-672-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2022-04-11 |