| NPI | 1851537054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE L REED Executive Director 414-431-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 2432) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |