| NPI | 1760188395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL GRIFFIN Owner 414-485-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |