IndividualActive
Darla Otto, CSW, MSM, CTACC
NPI 1316578909 · Child Mental Illness Respite Care · Kiel, WI
Provider details
- NPI number
- 1316578909
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Credential
- CSW, MSM, CTACC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
Practice location
13333 Cedar Lake Rd
Kiel, WI 53042-4053
Phone: (920) 894-1114
Approximate (ZIP-level) locationGet directions
Mailing address
13333 Cedar Lake Rd
Kiel, WI 53042-4053
Registry dates
- Enumerated
- 2020-01-31
- Last updated
- 2020-02-21
- Certified
- 2020-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.