| NPI | 1528197381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M DEBORAH FRISK Vice President 262-569-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |