| NPI | 1972221752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE SCHMITZ Administrator 608-269-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |