| NPI | 1407160831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY HALFON Director Of Clinical Operations 414-546-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 15542131) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |