| NPI | 1699777417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN IRENE BLOCK Administrator 262-241-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2010-06-11 |