NPI | 1073647665 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS CHOUINARD Finance Manager 715-235-4537 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1050) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2021-03-02 |