| NPI | 1316312218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI HOWARD Director/Owner 414-788-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |