| NPI | 1518134055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEE SCAGGS Associate Director 414-875-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2239) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |