| 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 |