NPI | 1952421190 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON L. ESALA Office Manager 715-682-5207 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: WI 017067) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |