| NPI | 1811104995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOHN ENGEL President 262-549-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1748) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: WI 1747) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |