Organization
COOPERATIVE EDUCATIONAL SERVICE AGENCY 2
Active
Other names
Birth to 3 Program
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BARLASS (EXECUTIVE DIRECTOR OF OPERATIONS)
(262) 473-1447
Entity
Organization
Contact information
Practice address
17 S RIVER STREET, #100, JANESVILLE, WI 53548
(608) 741-6687
(608) 756-1288
Mailing address
1221 INNOVATION DRIVE, SUITE 205, WHITEWATER, WI 53190
(262) 473-1473
(262) 472-2269
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
01/06/2015
Last updated
07/19/2024
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