| NPI | 1710304878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL E COLWIN Clinical Supervisor/Director 262-626-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 2598) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2021-03-12 |