| NPI | 1508052085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE CARRINGTON Executive Director 262-637-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-04-30 |