NPI | 1225774177 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES WISNIEWSKI Psychiatrist 267-225-8565 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2022-05-12 |
Last Update Date | 2022-05-12 |