| NPI | 1871040485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM ANGER Vice President 715-559-8770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |