| NPI | 1598110629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE PICKETT Director 414-501-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 305R00000X Preferred Provider Organization | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347B00000X Bus | |
| 347E00000X Transportation Broker | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |