| NPI | 1457677338 |
|---|---|
| Other Name | DAY TREATMENT AODA |
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-445-7222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 1098) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |