| NPI | 1710134291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM STRACHOTA Director 262-335-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2303) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |