| NPI | 1720344237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN LACHELLE JONES Director 414-354-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: WI 0013975) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |