| NPI | 1558609750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA THERESE CRIBBEN Program Therapist 414-257-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WI 1178-226) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |