NPI | 1013122845 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY BAUMANN Associate Director 262-524-4120 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WI 0000152) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |