| NPI | 1679785182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE DAVIES Occupational Therapist 920-849-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: WI 3173-026) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |