| NPI | 1215122395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIN H BLIWAS President 414-203-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 19951) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |