| NPI | 1720521743 |
|---|---|
| Former Legal Business Name | DOING OUT REACH ED SUPPORT |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN MCDONALD Case Manager 608-635-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |