| NPI | 1740621044 |
|---|---|
| Former Legal Business Name | CRC HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DEBRA JEAN DANOSKI Clinic Director 414-967-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 1643) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |