| NPI | 1154476026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WINSTON Psychitrist 262-797-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1964-123) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |