| NPI | 1275700437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VAN ALSTINE Quality Assurance Specialist 414-463-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WI 1586121) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-16 |