| NPI | 1346430303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWNDA DAVIS Director/Psychotherapist 414-628-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 39773300) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: WI 251C00000X) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-07-14 |