| NPI | 1417555418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CURETON CEO 262-595-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |