| NPI | 1932691193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ELIZABETH SKALSKY CEO 715-563-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MT 11829327) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2021-07-12 |