| NPI | 1962159061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUALA BURKS Owner 414-218-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-05-15 |