| NPI | 1083924732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY OLIVARES President/COO 262-534-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical | |
| 103TF0000X Psychologist, Family | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2024-03-29 |