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 |