| NPI | 1528321080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A NORAH Director 414-628-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |