| NPI | 1265172795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE DANIELLE KELLY Director 414-731-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |