| NPI | 1023281987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA O HAMPTON Execdutive Director 414-442-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2479) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |