| NPI | 1972610541 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | PAUL SMERZ Clinical Psychologist 414-332-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WI 1404-057) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-12-28 |