| NPI | 1467931691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J MERRITT Divisional Commander 414-302-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 52683-30) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4340-125) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |