| NPI | 1427453877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON HERZ Managing Member 608-833-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI WI 1715) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |