| NPI | 1851988414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATAELE KAVEINGA CEO 715-202-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |