| NPI | 1811879851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKI LYN BENSON Director Of Operations 414-213-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |