| NPI | 1114066628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY E TAXMAN President 262-241-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 26227) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |