| NPI | 1043188329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNISHA TAYLOR Executive Director 414-628-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-12-01 |