| NPI | 1790972461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AREATHA MILLER Director 414-353-9250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1205) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |