IndividualActive
Megan Smith
NPI 1962236877 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Whitewater, WI
Provider details
- NPI number
- 1962236877
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Practice location
10070 N Lima Center Rd
Whitewater, WI 53190-3224
Phone: (920) 220-1427
Mailing address
10070 N Lima Center Rd
Whitewater, WI 53190-3224
Registry dates
- Enumerated
- 2024-09-02
- Last updated
- 2024-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.