OrganizationActive
The Extra Pass Mentoring, LLC
NPI 1275400368 · Developmentally Disabled Services Day Training Agency · Hobart, WI
Provider details
- NPI number
- 1275400368
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Leslie Boyce, Owner/Director(920) 313-0209
Specialties & taxonomies
Agencies
Practice location
740 Centerline Dr
Hobart, WI 54155-9249
Phone: (920) 313-0209
Approximate (ZIP-level) locationGet directions
Mailing address
3021 E River Dr
Allouez, WI 54301-1405
Registry dates
- Enumerated
- 2025-10-22
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.