| NPI | 1952709206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE JOHNSON-TOWERS Directot 414-771-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: WI 101528-30) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |