| NPI | 1407994700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ANN VICE President 414-271-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 910-057) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |