| NPI | 1154786697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED YAROW CEO 414-269-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2019-07-19 |