| NPI | 1316649981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DIANE CHATMAN Executive Director 414-364-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |