| NPI | 1487178984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA M SKALITZKY Co Owner 920-420-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 3667-033) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |