| NPI | 1336699099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TAXMAN Medical Director 262-241-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 26227) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |