| NPI | 1821326455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANELL WHITE Director 414-536-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 2665) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |