| NPI | 1649519299 |
|---|---|
| Other Name | CHILD ADVOCACY CENTER - KENOSHA |
| Entity Type | Organization |
| Authorized Contact | WELDON GAGE Treasurer/Chief Financial Officer 414-266-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-09-27 |