TRISHA A IDE

EAST TROY, WI
NPI1447004007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171400000X Health & Wellness Coach
Additional Taxonomies106S00000X Behavior Technician
171M00000X Case Manager/Care Coordinator
251B00000X Case Management
251C00000X Day Training, Developmentally Disabled Services
251S00000X 
251X00000X 
253Z00000X In Home Supportive Care
Enumeration Date2024-04-11
Last Update Date2024-04-11
Business Address
TRISHA A IDE HS-BCP
2938 ELM ST
EAST TROY, WI 53120-1223
Phone number: 262-203-0014
Mailing Address
TRISHA A IDE HS-BCP
2938 ELM ST
EAST TROY, WI 53120-1223
Phone number: 262-203-0014