NPI | 1265601389 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA YVETTE HUNTER President/Owner/Operator 262-656-1934 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2008-02-22 |
Last Update Date | 2008-02-22 |