Organization
THE THRESHOLD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R BERGERUD (EXECUTIVE DIRECTOR)
(262) 338-1188
Entity
Organization
Contact information
Practice address
600 ROLFS AVE, WEST BEND, WI 53090-2637
(262) 338-1188
(262) 338-9453
Mailing address
600 ROLFS AVE, WEST BEND, WI 53090-2637
(262) 338-1188
(262) 338-9453
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41204800
—
WI
Enumeration date
08/26/2008
Last updated
08/26/2008
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