| NPI | 1659726545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA RICHARDSON Director 414-324-4832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 17485-130) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |