| NPI | 1639807845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIA FELTON-WILKS Authorized Official 414-312-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-03-21 |