| NPI | 1306126214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA HAMPTON Executive Director 414-442-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 42232700) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |