| NPI | 1235485012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA MITCHELL Administrator 414-355-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2975) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2014-03-24 |