| NPI | 1902141229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA A SAMPTON FOSSIE President 414-573-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WI 1718 121) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WI 1718 121) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2013-03-06 |