| NPI | 1346382496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN M ELLINGSON Executive Director 414-475-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2541) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |