| NPI | 1568461846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE FEINBERG Executive Director 414-962-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 2022) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WI 2172) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-01-25 |