| NPI | 1861195356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMANIKA J WALTON Owner 414-394-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-04-05 |