| NPI | 1306969613 |
|---|---|
| Other Name | BESTD CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL LYNCH Director 414-272-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: WI 2969-800) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |