NPI | 1649547183 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY HARDTKE Director 715-369-1337 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
252Y00000X Early Intervention Provider Agency | |
347B00000X Bus | |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2011-11-29 |
Last Update Date | 2011-11-29 |