Cru Group Home, Inc.

NPI #1477737963 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1477737963
Entity Type: Organization
Organization Name: Cru Group Home, Inc.
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Dec 20, 2007
Last Updated: Dec 20, 2007

Practice Location

Address: 9316 N WAVERLY DR
City: Milwaukee
State: Wisconsin
ZIP Code: 53217-1341
Phone: (414) 324-9754

Authorized Official

Name: MRS. GALINA DONETS
Title: ADMINISTRATOR
Phone: (414) 324-9754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Residential Treatment Facility	323P00000X	Primary

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