NPI: 1962650721 · PRAIRIE DU CHIEN, WI 53821 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 09/05/2008
| Authorized Official | WEDGEWORTH, TAMI (COO) |
| NPI Enumeration Date | 09/05/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,642 | $104K |