| NPI | 1891676649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE TAYLOR Program Director 414-377-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |