| NPI | 1093262891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAPIKA WASHINGTON Clinical Director 414-967-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 312890-31) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |