NPI | 1063620847 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK H ROSSING Owner 262-567-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 33425) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2020-08-22 |