NPI | 1467051730 |
---|---|
Entity Type | Organization |
Authorized Contact | JODI CZERNEJESKI CEO 414-242-5468 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103T00000X Psychologist | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207RI0200X Internal Medicine, Infectious Disease | |
207RP1001X Internal Medicine, Pulmonary Disease | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |