| NPI | 1518736610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE WEAVER President Of Operations 414-499-9270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |