| NPI | 1245346733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESS R VOGT President 262-512-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-09-10 |