| NPI | 1184882284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA JHANSALE Medical Director 414-264-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: WI 3476800) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2015-09-16 |