NPI | 1962568998 |
---|---|
Entity Type | Organization |
Authorized Contact | MARILYN JEANNE BONJEAN President 414-273-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 1429) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2023-07-05 |