Provider Demographics
NPI:1073072542
Name:BARABOO RIVER EQUINE-ASSISTED THERAPIES INC.
Entity Type:Organization
Organization Name:BARABOO RIVER EQUINE-ASSISTED THERAPIES INC.
Other - Org Name:BREATHE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-504-2299
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:BARABOO
Mailing Address - State:WI
Mailing Address - Zip Code:53913-0101
Mailing Address - Country:US
Mailing Address - Phone:760-212-8021
Mailing Address - Fax:
Practice Address - Street 1:E11230 MOON RD
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913-9433
Practice Address - Country:US
Practice Address - Phone:608-504-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable