| NPI | 1205979184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN OLIVER Treasurer & Controller 414-778-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2024-11-13 |