NPI | 1346362639 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD L BURRIS Owner 414-810-3237 |
Organization Subpart ? | No |
Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: WI State License) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-22 |