| NPI | 1720783269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANDA FORD Director 414-517-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |