NPI | 1417041310 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN M GERBER Executive Director 715-426-5950 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1458) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |