| NPI | 1609040351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. CAMILLE MORTIMORE Executive Director 414-372-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |