| NPI | 1467583765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BURGESS CEO, President 608-785-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2010-07-09 |