| NPI | 1619935293 |
|---|---|
| Doing Business As | TCHCC IMD |
| Entity Type | Organization |
| Authorized Contact | JERRY DEETZ Executive Director 715-538-4312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: WI 5001) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-04-15 |