| NPI | 1063054377 |
|---|---|
| Doing Business As | RIVER BASIN FOSTER HOME |
| Entity Type | Organization |
| Authorized Contact | JOHN RAYMOND ARCHER CEO 715-205-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |