| NPI | 1164807665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA JEAN GREENHAW President And Chief Clinical Office 262-707-3257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WI 20-140) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2015-07-25 |