| NPI | 1225848021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA HARRIS ROBINSON CEO 414-964-9012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |