| NPI | 1306079223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON CROWDER Clinical Psychologist 262-757-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |