| NPI | 1811172489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EAGER Vice President Finance 414-647-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-03-24 |