| NPI | 1831498500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI LYNN DOWNS Sole Proprietor 414-278-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2011-125) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |