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Organization
DARJUNE FOUNDATION, INC.
Active
Organization
DARJUNE FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SUTHERS (CEO)
(920) 676-9697
Entity
Organization
Contact information
Practice address
1018 SHAWANO AVE, GREEN BAY, WI 54303-3021
(920) 676-9697
Mailing address
2055 S TANAGER LN, SUAMICO, WI 54313-4003
(920) 676-9697
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
—
NULL
405300000X
Prevention Professional
Primary
—
NULL
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
06/27/2024
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