# DARJUNE FOUNDATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114485562
- **Authorized official:** AMANDA SUTHERS (CEO)
- **Authorized official phone:** (920) 676-9697

## Contact information

- **Practice address:** 1018 SHAWANO AVE, GREEN BAY, WI 54303-3021
- **Practice address phone:** (920) 676-9697
- **Mailing address:** 2055 S TANAGER LN, SUAMICO, WI 54313-4003
- **Mailing address phone:** (920) 676-9697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 405300000X | Prevention Professional | — | NULL | Yes |
| 405300000X | Prevention Professional | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2019
- **Last updated:** 06/27/2024