NPI | 1285922971 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES COLWIN Executive Director 920-922-9487 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1068-800) |
Enumeration Date | 2011-07-14 |
Last Update Date | 2011-07-14 |