| NPI | 1477623643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN ADAMCZAK Clinic Manager 414-571-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1758) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-12-21 |