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 |