| NPI | 1962640466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HARDY Executive Director/Therapist 414-559-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2801) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |