| NPI | 1174877591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA H KING Director 414-343-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: WI 176207-30) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |