| NPI | 1497171938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KABARA Center Director 262-510-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3026) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 222Q00000X Developmental Therapist | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical (Licence: WI 128973) | |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-04-11 |