| NPI | 1780716175 |
|---|---|
| Other Name | WAUKESHA COUNTY (CSP) |
| Entity Type | Organization |
| Authorized Contact | DAVID M DEROSIER Credentialing Specialist 262-896-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 43422400) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-02-16 |