| NPI | 1457689192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARENDA L ROSIN President 608-487-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WI 0011268) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |