| NPI | 1487878500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN FOSSIE CEO 414-263-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1546) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |