| NPI | 1760652143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE JONES Director Outpatient/Community Progr 414-527-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 1102) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |