| NPI | 1669648523 |
|---|---|
| Other Name | (ECA OUTPT) |
| Entity Type | Organization |
| Authorized Contact | CHARLES LEE ALBRENT Executive Director 715-834-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WI 560002) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-06-26 |