| NPI | 1225650096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN RYAN Chief Operating Officer 608-278-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2021-01-08 |