NPI | 1578621579 |
---|---|
Doing Business As | MASH-KA-WISEN TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | JAMES W MALLERY II Business Manager 218-879-6731 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2006-12-04 |
Last Update Date | 2020-08-22 |