| NPI | 1114548542 |
|---|---|
| Former Legal Business Name | MTC BUSINESS |
| Doing Business As | ABBY'S CLUBHOUSE |
| Entity Type | Organization |
| Authorized Contact | CAPRICE MATHIES Owner 414-242-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2021-02-05 |