| NPI | 1972339935 |
|---|---|
| Doing Business As | BRAVE CHANGES, LLC |
| Entity Type | Organization |
| Authorized Contact | LORI-ANA GUILLEN Lcsw 414-666-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |