NPI | 1669860193 |
---|---|
Doing Business As | BIRTH TO 3 PROGRAM |
Entity Type | Organization |
Authorized Contact | TERRI WIXOM Program Coordinator 608-756-3147 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WI 252Y00000X) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |