NPI | 1013635994 |
---|---|
Entity Type | Organization |
Authorized Contact | MADELINE PHILLIPS Vice President 608-344-0224 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2022-08-17 |
Last Update Date | 2022-08-17 |