| NPI | 1477737963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINA DONETS Administrator 414-324-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |