| NPI | 1043403405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYA SINGH Director Of Residential Services 414-527-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |