| NPI | 1487417481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GINLACK CEO/Executive Director 414-539-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |