| NPI | 1285187179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEKA WASHINGTON Clinical Director 414-967-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 227113) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |