| NPI | 1487435236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYA EDWARDS Behavior Therapist 920-512-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |