NPI | 1053074096 |
---|---|
Entity Type | Organization |
Authorized Contact | TENISHA DANIELLE MAXEY Owner 414-394-7506 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 251B00000X Case Management |
251J00000X Nursing Care | |
261QM0850X Clinic/Center, Adult Mental Health | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
Enumeration Date | 2021-10-18 |
Last Update Date | 2021-10-18 |