| NPI | 1457784662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D TOMASINI CEO 920-787-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 0014457) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |