| 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 |