NPI | 1649420076 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LYNN KITELINGER Owner 920-462-4583 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: WI Q004099) |
Enumeration Date | 2008-09-22 |
Last Update Date | 2008-09-22 |