Southwest Opportunities Center, Inc.

NPI #1760091854 in Lancaster, Wisconsin

Provider Information

NPI Number: 1760091854
Entity Type: Organization
Organization Name: Southwest Opportunities Center, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 24, 2020
Last Updated: Jul 24, 2020

Practice Location

Address: 1600 INDUSTRIAL PARK RD
City: Lancaster
State: Wisconsin
ZIP Code: 53813-9449
Phone: (608) 723-6659

Authorized Official

Name: DEREK KRUEMPEL
Title: EXECUTIVE DIRECTOR
Phone: (608) 723-6659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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