| NPI | 1760649354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD AUGUST HOHFELER President 262-569-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1295) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2010-10-20 |