| NPI | 1154567014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL GUDWER CFO 920-826-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2008-12-24 |