| NPI | 1225155245 |
|---|---|
| Other Name | FAMILY SERVICES - RESIDENTIAL TREATMENT |
| Entity Type | Organization |
| Authorized Contact | THOMAS MARTIN President CEO 920-436-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: WI 1005260) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |