| NPI | 1447559364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN SIMONSON Property Manager 608-318-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: WI 0013255) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |