| NPI | 1215623715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BEHREND Director 920-740-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |