| NPI | 1407978521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI SEVENICH Chief Executive Officer 414-935-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: WI 38021) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |