LAD LAKE, INC.

DOUSMAN, WI
NPI1114196854
Entity TypeOrganization
Authorized ContactGARY L ERDMANN
Executive Director
262-965-2131
Organization Subpart ?No
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: WI  265001)
Additional Taxonomies320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: WI  none)
Enumeration Date2008-02-27
Last Update Date2008-02-27
Business Address
LAD LAKE, INC.
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118-9020
Phone number: 262-965-2131
Mailing Address
LAD LAKE, INC.
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118-9020
Phone number: 262-965-2131