| NPI | 1053810499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT MILLEVILLE President 414-333-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: WI 25845-20) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WI 25845) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |