| NPI | 1053588228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA K DORN Director 414-257-3141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |