| NPI | 1306587167 |
|---|---|
| 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 | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-06-06 |