| NPI | 1184905622 |
|---|---|
| Doing Business As | MILL POND 2 |
| Entity Type | Organization |
| Authorized Contact | ANDY OLIVARES COO & Administrator 262-534-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2024-04-09 |