| NPI | 1982343224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESILYNN SMITH Owner 414-438-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-12-10 |