NPI | 1861666943 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES R WEYENBERG Administrator 715-258-1440 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2008-04-18 |
Last Update Date | 2008-04-18 |