| NPI | 1740165349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRISA GILES Operations Manager 414-553-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 385H00000X Respite Care |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 177F00000X Lodging | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 251S00000X Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 174200000X Meals | |
| 251E00000X Home Health | |
| 103TC0700X Psychologist, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 347C00000X Private Vehicle | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-09-22 |