| NPI | 1497927677 |
|---|---|
| Other Name | EARLY INTERVENTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | STACY LEE RUDIG Director 920-749-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |