| NPI | 1033352760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BOND Director Of Operations 414-540-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |