NPI | 1306095823 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ZIEMER NERVIG Owner 414-258-5523 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 475-123) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2008-09-09 |