NPI | 1770916645 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY EDWARD TYLER Executive Director 414-745-0925 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI L052978) |
Enumeration Date | 2013-08-15 |
Last Update Date | 2013-08-15 |