| NPI | 1346362639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L BURRIS Owner 414-810-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: WI State License) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |