| NPI | 1639552946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PRINCESS ROBINSON Lpn 414-264-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: WI 31-307517) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |