| NPI | 1265642318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. LABINE Executive Director 920-435-2093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1446) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |