NPI | 1144313859 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES BARRY WINSTON Owner 414-774-1794 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1047) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2025-09-30 |