Organization
ADVOCATES FOR HEALTHY TRANSITIONAL LIVING, LLC
Active
Other names
Foster Care Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ROBERT HOLSTEAD LCSW (DIRECTOR)
(920) 634-6162
Entity
Organization
Contact information
Practice address
3021 HOLMGREN WAY, SUITE 203, GREEN BAY, WI 54304-6302
(920) 634-6162
(920) 339-9374
Mailing address
3021 HOLMGREN WAY, SUITE 203, GREEN BAY, WI 54304-6302
(920) 634-6162
(920) 339-9374
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
8038182
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39761600
—
WI
Enumeration date
12/07/2011
Last updated
12/07/2011
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