| NPI | 1003357807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOSHA DJAY JOI Substance Abuse Counselor Intrannig 262-765-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WI 18075130) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |