| NPI | 1043109564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARTUN ALI CEO 920-961-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |