NPI | 1417605197 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS LEE KOCHANIK President 414-502-7216 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-03-12 |
Last Update Date | 2024-02-05 |