| NPI | 1174060198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINA MEIER Owner 414-254-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 17239-130) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |