| NPI | 1265677884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CHERONE Director 262-547-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 4087-125) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |