NPI | 1104417534 |
---|---|
Other Name | ARC FOND DU LAC |
Entity Type | Organization |
Authorized Contact | ROBIN RYAN Chief Operating Officer 608-278-2300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-01-28 |
Last Update Date | 2021-01-28 |