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 |