| NPI | 1154750511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIKO MEKVABISHVILI President 414-755-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: WI 0014565) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |