| 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 |