| NPI | 1003422726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA ROBERTSON Fnp Bc, Pmhnp Bc 414-219-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |