| NPI | 1356570501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEG DUBORD President And CEO 414-476-9675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2012-04-04 |