| NPI | 1255467403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA VERNON Assistant Executive Director 414-937-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2020-08-22 |