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 |