NPI | 1962147363 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIET PELLICANE Clinician 414-465-2585 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-04-29 |
Last Update Date | 2022-04-29 |