| NPI | 1023656162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE R RASZKIEWICZ Licensed Psychologist 262-308-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-02-24 |