| NPI | 1518247592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA BROUGHTON LEWIS Executive Director 414-828-5617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |