| NPI | 1497583389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL H GONDECK Owner/Operator 920-600-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |