| NPI | 1932790037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIA N MANUEL-WRIGHT Owner Of En Tity 414-376-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-12-02 |