| NPI | 1093008575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE A KANE Executive Director 414-529-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 132700000X Dietary Manager |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |