| NPI | 1346084258 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NIKYRA MCCANN Community Health Worker 608-577-3175  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health | 
| Enumeration Date | 2024-06-24 | 
| Last Update Date | 2024-06-27 |