| NPI | 1093941262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH M HICKEY Program Manager Mental Health Clini 414-358-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WI 4296-125) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |