| NPI | 1285777110 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANTHONY D MEYER Owner 414-454-6609 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| Enumeration Date | 2007-02-14 | 
| Last Update Date | 2011-01-05 |