NPI 1275400368
The Extra Pass Mentoring, LLC
Practice location
- Address
- 740 Centerline Dr, Hobart, WI 54155-9249
- Phone
- (920) 313-0209
- Mailing address
- 3021 E River Dr, Allouez, WI 54301-1405
Authorised official
- Name
- Leslie Boyce
- Title
- Owner/Director
- Phone
- (920) 313-0209
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1275400368
- Entity type
- Organization
- NPI issued
- 22 Oct 2025
- Record last updated
- 22 Oct 2025
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.