| NPI | 1346863180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE RAE GLOWACKI Owner 608-293-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |