| 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 |