| NPI | 1528704640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANI SELLERS CEO 414-731-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |