| 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 |