| NPI | 1275063026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAIG ADERS Owner 414-779-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R0349) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |