| NPI | 1205554193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA PINTER Owner 262-448-3289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2023-02-08 |