| NPI | 1336818871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE BENTLEY Owner 414-212-5693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-01-20 |