| 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 |