| NPI | 1487950812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE COSTANZO Psychiatrist 608-347-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 36169) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |