| NPI | 1871650085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GARLIE Corporate Compliance Officer 262-207-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-07-12 |