| NPI | 1336205855 |
|---|---|
| Other Name | MATCH II |
| Entity Type | Organization |
| Authorized Contact | MERRY KYLES Owner 414-372-0739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: WI 9374) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |