| NPI | 1649975210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA COOPER Administrator 414-678-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |