| NPI | 1285971739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE ESTER CORREA President 262-385-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2985) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2015-03-25 |