| NPI | 1972069003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SMITH President/ Manager Of Operations 414-378-8461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |