NPI | 1154514776 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY KINCAID Chief Executive Officer 414-546-6880 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2611) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2007-08-27 |