| NPI | 1881071355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD DICKEY Director 715-829-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: 1-12-11844) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2022-10-05 |