| NPI | 1871843334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON NITA MEDINA Executive Director 414-719-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 1423-226) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |