| NPI | 1376747006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE MICHELLE NASH Case Manager 262-564-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WI 2615-120) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |