| NPI | 1861651366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN BOLDEN Billing Supervisor 414-267-3645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WI 10917132) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |