| NPI | 1770896177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATAWNA E LOWE Owner 414-852-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2013-11-04 |