| NPI | 1871816355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HEIL COO 608-819-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: WI 3104A0625X) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MN 3104A0625X) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |