| NPI | 1275980799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROWELL President 920-217-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 5569320) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |