| 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 |