| NPI | 1073067013 |
|---|---|
| Doing Business As | BREAKBUSH CENTER FOR HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHELLE D RUTH Implementation & Training Coordinat 414-375-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 1417905035) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2019-05-07 |