| NPI | 1518612613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REEIYAINA GRIFFIN Agent 414-815-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |