NPI | 1437844420 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN YEAGER Vice President Of Oerations 715-571-4077 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-04-06 |
Last Update Date | 2023-04-06 |