NPI | 1639401649 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN HOLTON Director Of Accounting Services 920-261-3050 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2010-02-02 |
Last Update Date | 2010-11-24 |