| NPI | 1649339813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA DORN Director 414-257-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |