NPI | 1306587167 |
---|---|
Doing Business As | RETRAC ENTERPRISES INC |
Entity Type | Organization |
Authorized Contact | AMBER ELLIS Owner 414-218-8670 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 310400000X Assisted Living Facility |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-01-18 |