Provider Demographics
NPI:1245001486
Name:GABLIAN SKILLS DEVELOPMENT LLC
Entity type:Organization
Organization Name:GABLIAN SKILLS DEVELOPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-281-4041
Mailing Address - Street 1:PO BOX 239
Mailing Address - Street 2:
Mailing Address - City:CLINTONVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54929-0239
Mailing Address - Country:US
Mailing Address - Phone:715-281-4041
Mailing Address - Fax:
Practice Address - Street 1:N10714 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CLINTONVILLE
Practice Address - State:WI
Practice Address - Zip Code:54929-8706
Practice Address - Country:US
Practice Address - Phone:715-281-4041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health