| NPI | 1275682742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI TODD Administrator 262-646-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution (Licence: WI 0940) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-08-15 |