| NPI | 1447644422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA M SINCLAIR Executive Director 414-269-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-09-02 |