| NPI | 1104139021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE COHEN SMITH Manager, Psychology Services 262-687-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |