NPI | 1700229564 |
---|---|
Entity Type | Organization |
Authorized Contact | LAZRIA TRINETTE PRICE Sac It 262-497-3445 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 16859) |
Enumeration Date | 2013-04-11 |
Last Update Date | 2013-04-12 |