| NPI | 1124286430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W WILSON President 414-332-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 15620) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |