| NPI | 1629636873 |
|---|---|
| Former Legal Business Name | AUTISM SOCIETY OF WISCONSIN |
| Entity Type | Organization |
| Authorized Contact | KELLY BRODHAGEN Office Manager 920-558-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |