| NPI | 1417201427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STINA BAKER President 414-562-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: WI 28807-031) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-12-17 |