| 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 |