NPI 1114485562

Darjune Foundation, INC.

Organisation Prevention Professional Green Bay, WI

Practice location

Address: 1018 Shawano Ave, Green Bay, WI 54303-3021
Phone: (920) 676-9697
Mailing address: 2055 S Tanager Ln, Suamico, WI 54313-4003

Authorised official

Name: Amanda Suthers
Title: Ceo
Phone: (920) 676-9697

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X

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Registry record

NPI: 1114485562
Entity type: Organization
NPI issued: 5 Mar 2019
Record last updated: 27 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.