| NPI | 1093350563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENG HER CEO 608-628-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |