| NPI | 1962620013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN GRAMKE Director 262-767-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1022) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-03-29 |