| NPI | 1790110013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON DAVIS Executive Director 414-377-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |