NPI | 1104207497 |
---|---|
Doing Business As | SW WI REGIONAL ELEM THERAPEUTIC CLASSROOM |
Entity Type | Organization |
Authorized Contact | MARC WRUBLE Director 608-348-4060 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2015-06-12 |
Last Update Date | 2015-08-04 |