Individual provider · Type 1 NPI
Leslie Thede
Child Mental Illness Respite Care · Neenah, WI
NPI number
1043943798
Active
Practice location
1556 Lone Oak Dr
Neenah, WI 54956-6541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
| Child Mental Illness Respite Care Primary | 385HR2055X | None listed |
Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
About NPI 1043943798
Leslie Thede's National Provider Identifier is 1043943798, issued on Jul 8, 2022. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Neenah, WI. The record was last updated on Jul 8, 2022.