| NPI | 1194910604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN JOHNSON Director/Health Officer 262-284-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2012-07-24 |