| NPI | 1154133494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARTIN Owner 262-751-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251B00000X Case Management |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 333300000X Emergency Response System Companies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |