| NPI | 1720415938 |
|---|---|
| Other Name | BRENTWOOD GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | NATHAN ZEIGER Executive Director 414-342-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |