| NPI | 1992136899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIANA PERLEBERG Office Manager 414-445-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: WI 5226-125) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |