| NPI | 1467699272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA SYVILLE ADKINS Director/CEO 414-573-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 4059 125) |
| Additional Taxonomies | 251S00000X (Licence: WI 14841-130) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2010-10-29 |