| NPI | 1104861210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD TURCOTT President 414-258-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2573) |
| 103T00000X Psychologist (Licence: WI 1218) | |
| 207R00000X Internal Medicine (Licence: WI 18327) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 18690) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 44959020) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |