NPI | 1760902191 |
---|---|
Doing Business As | AGNESIAN BEYOND BOUNDARIES OF AUTISM |
Entity Type | Organization |
Authorized Contact | BONNIE R SCHMITZ VP & CFO 920-926-4480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2226) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2022-07-21 |