| NPI | 1821245390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R BERGERUD Executive Director 262-338-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |