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Organization
NEW VISION WILDERNESS
Active
Organization
NEW VISION WILDERNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JOSI (BUSINESS MANAGER)
(262) 780-1780
Entity
Organization
Contact information
Practice address
1350 14TH AVE, SUITE 6, GRAFTON, WI 53024-1990
(262) 780-1780
(262) 780-1781
Mailing address
1350 14TH AVE, SUITE 6, GRAFTON, WI 53024-1990
(262) 780-1780
(262) 780-1781
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary
—
—
Other
Enumeration date
08/04/2012
Last updated
09/17/2013
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