NPI 1164807665

Advancing Abilities of Wisconsin

Organisation Early Intervention Provider Agency West Allis, WI

Practice location

Address: 10909 W Greenfield Ave Suite 207, West Allis, WI 53214-2379
Phone: (262) 707-3257
Fax: (877) 565-8884

Authorised official

Name: Rhonda Jean Greenhaw
Title: President and Chief Clinical Office
Phone: (262) 707-3257

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 20-140 (WI)

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Registry record

NPI: 1164807665
Entity type: Organization
NPI issued: 25 Jul 2015
Record last updated: 25 Jul 2015

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.