| NPI | 1326296518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY E TAXMAN President 262-241-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 26227) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |