| NPI | 1114393527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BUFORD Vocational Rehabilitation 262-527-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |