| NPI | 1609101179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SIMON Owner / President 920-430-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |