| NPI | 1124389010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA WARD Executive Director 414-388-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 16594-130) | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2015-05-01 |