NPI | 1659960102 |
---|---|
Doing Business As | SAMSON HOUSE |
Entity Type | Organization |
Authorized Contact | KARL RAJANI CEO 414-301-6381 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2021-01-11 |
Last Update Date | 2021-01-11 |