| NPI | 1114485562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SUTHERS CEO 920-676-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-06-27 |