OrganizationActive
Autism Society of Greater Wisconsin
NPI 1629636873 · Voluntary or Charitable Agency · Menasha, WI
Provider details
- NPI number
- 1629636873
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Authorized official
- Kelly Brodhagen, Office Manager
Practice location
1477 Kenwood Dr Ste 100
Menasha, WI 54952-1160
Phone: (920) 558-4602
Fax: (920) 558-4611
Mailing address
1477 Kenwood Dr Ste 100
Menasha, WI 54952-1160
Registry dates
- Enumerated
- 2019-06-03
- Last updated
- 2019-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.