Autism Society of Greater Wisconsin
Organization Active NPI Voluntary or Charitable Agency · Menasha, WI
NPI 1629636873 · NPPES record last updated Jun 3, 2019
Key facts
- NPI
- 1629636873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Voluntary or Charitable Agency 251V00000X
- Legal business name
- AUTISM SOCIETY OF GREATER WISCONSIN
- Practice address
- 1477 Kenwood Dr Ste 100
Menasha, WI 54952-1160 - Phone
- (920) 558-4602
- Fax
- (920) 558-4611
- NPI assigned
- Jun 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Kelly Brodhagen
- Title
- Office Manager
- Phone
- (920) 558-4602
National Provider Directory
Locations
1477 Kenwood Dr
Ste 100
Menasha, WI 54952
Phone (920) 558-4602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Yes |
Addresses
Primary practice location
1477 Kenwood Dr Ste 100
Menasha, WI 54952-1160
Mailing address
1477 Kenwood Dr Ste 100
Menasha, WI 54952-1160
Phone (920) 558-4602
Other names
- Autism Society of Wisconsin
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbrodhagen@autismgreaterwi.org |
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All providers in Menasha, WI · Voluntary or Charitable Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.