| NPI | 1518388289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLLIE BRAZIER Executive Director 414-218-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH4368) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |