| NPI | 1629390729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE STEINBERG CEO 262-754-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2021-04-15 |