| NPI | 1992081954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY NOWAK Director 414-587-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 1671) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2011-10-22 |