Organization
THE EXTRA PASS MENTORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE BOYCE (OWNER/DIRECTOR)
(920) 313-0209
Entity
Organization
Contact information
Practice address
740 CENTERLINE DR, HOBART, WI 54155-9249
(920) 313-0209
Mailing address
3021 E RIVER DR, ALLOUEZ, WI 54301-1405
(920) 313-0209
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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