NPI | 1942465430 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BESIADA-HANSEN Owner/Occupational Therapist 920-818-0424 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2008-07-23 |
Last Update Date | 2008-07-23 |