| NPI | 1770688970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHNSON Executive Director. 608-316-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 104100000X Social Worker |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235500000X Specialist/Technologist | |
| 235Z00000X Speech-Language Pathologist, | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-03-27 |