| NPI | 1487927653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MAURICE KENITZ Executive Director 608-729-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |