| NPI | 1871939876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH NIEHAUS Owner/Oper AO R 218-341-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |