| NPI | 1295783124 |
|---|---|
| Doing Business As | TCHCC FARNAM |
| Entity Type | Organization |
| Authorized Contact | JERRY DEETZ Executive Director 715-538-4312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WI CBRF474) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-04-15 |