| NPI | 1437518784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY D WENDORF Licensed Clinical Psychologist 262-719-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 2977-57) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |