| NPI | 1144412305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J JOSSART Director 262-638-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X |
| 251B00000X Case Management | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2012-10-16 |