| NPI | 1962577767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE A KANE Clinical Director Owner 262-242-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-04-14 |