| NPI | 1285726661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SCOTT HOLLOWELL Psychologist/Owner 262-641-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: WI 2524) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |