| NPI | 1841964970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY FITZSIMONS Program Director 414-442-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-02-13 |