NPI | 1396599858 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL MINNING Director Of Treasury 920-206-4459 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-04-12 |