| NPI | 1417108747 |
|---|---|
| Doing Business As | UNLIMITED POTENTIAL |
| Entity Type | Organization |
| Authorized Contact | CLARENCE JOHNSON Chief Executive Officer 414-290-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WI 52D0914885) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2023-12-13 |