NPI | 1528098530 |
---|---|
Doing Business As | LIBERTAS |
Entity Type | Organization |
Authorized Contact | PATRICIA LYNNE ALLEN CFO 920-884-5660 |
Organization Subpart ? | Yes |
Primary Taxonomy | 284300000X Special Hospital |
Enumeration Date | 2006-07-04 |
Last Update Date | 2022-12-28 |