NPI | 1780859280 |
---|---|
Doing Business As | NORTHWEST |
Entity Type | Organization |
Authorized Contact | SUSAN MARIE ODEGAARD Director, Bus Opers. 414-289-3796 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2008-04-25 |
Last Update Date | 2015-10-23 |