Provider Demographics
NPI:1700593886
Name:TIME TO TREASURE AFH S CORP
Entity Type:Organization
Organization Name:TIME TO TREASURE AFH S CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-880-7036
Mailing Address - Street 1:PO BOX 597
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-0597
Mailing Address - Country:US
Mailing Address - Phone:262-880-7036
Mailing Address - Fax:262-880-7036
Practice Address - Street 1:6226 BANKERS RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53403-9799
Practice Address - Country:US
Practice Address - Phone:262-880-7036
Practice Address - Fax:262-886-8112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities