NPI | 1558518076 |
---|---|
Doing Business As | DOOR COUNTY COMMUNITY SUPPORT PROGRAM |
Entity Type | Organization |
Authorized Contact | SHERYL FAYE FLORES Csp COO Rdinator 920-746-2345 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 1510-123) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2008-08-27 |