| NPI | 1174848980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAE E BAKER Billing COO Rdinator 715-638-5169 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-05-27 |