| NPI | 1689145500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ANN RAML-GLIDER Executive Director 262-569-5510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |