| NPI | 1790088896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN ULLSTRUP Director Of Programs 414-977-5871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |