| NPI | 1134875461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA BAXTER CEO 414-391-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |