| NPI | 1467609776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY KAY SUSZEK Director Of Human Services 414-649-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1949) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1657) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |