| NPI | 1528304797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BARTKOWSKI CEO 414-672-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WI 7950-123) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |