| NPI | 1780874057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF KACZMARSKI Corporate Lawyer 920-261-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2010-11-24 |