| NPI | 1477343978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MCCLELLAN Program Manager 414-510-4489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |