| 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 |