| NPI | 1235304056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD STEWART HARRIS Executive Director 1262-662-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WI 265004) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |