| NPI | 1699030783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S SCHUETTE Owner 920-894-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: WI 2467) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: WI 6647) |
| 284300000X Special Hospital (Licence: WI 6854) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-12-29 |