| NPI | 1649574252 |
|---|---|
| Doing Business As | NEURORESTORATIVE WISCONSIN |
| Entity Type | Organization |
| Authorized Contact | CHRIS CUTLER CFO 618-457-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WI 0013091) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |