| NPI | 1306169370 |
|---|---|
| Other Name | HIAWATHA HALL |
| Entity Type | Organization |
| Authorized Contact | MIKE BOEHM President/CEO 608-785-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2012-01-11 |