| NPI | 1336719640 |
|---|---|
| Former Legal Business Name | ABUNDANT GRACE ADULT & YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOCELYN WRIGHT HALL Executive Director 414-248-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |