| NPI | 1386575926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANDREW SIVELS Behavioral Specialist 920-634-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2026-05-25 |
| Last Update Date | 2026-06-02 |