| NPI | 1457667388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAOKIA COLLINS Owner 414-202-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |