| NPI | 1487184420 |
|---|---|
| Doing Business As | OPEN LIFE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JAMIE SCHAFER Patient Services 262-842-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-03-17 |