| NPI | 1285039578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GOGGINS Adult Services Manager 262-638-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 3031) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2015-03-30 |