| NPI | 1881070944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALEATHA NABORS Director 414-699-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |