| NPI | 1316624398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL RAJANI President 414-581-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |