| NPI | 1447962998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMINE C PACKER Owner 414-366-6947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |