| NPI | 1548908742 |
|---|---|
| Other Name | ST ANTHONY: UPPER ELEMENTARY/MAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | TANYA M STAMPS Chief Financial Officer 414-935-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-01-10 |