| NPI | 1558182527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA MOHAMED Director 414-210-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251E00000X Home Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |