| NPI | 1407661515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY PATE Owner 920-510-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-08-06 |