| NPI | 1609541812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEEN MAYA-SATI EARTH Owner 414-841-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-03-05 |