NPI | 1356953475 |
---|---|
Doing Business As | WILLOW BROOK CBRF |
Entity Type | Organization |
Authorized Contact | LORI GLAUNERT Director Of Finance 715-538-4312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-08-19 |