NPI | 1285759035 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ELLIOT Program Director 715-327-4402 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WI 1004165) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |