| NPI | 1518103324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI GAVAGAN Office Manager 262-654-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 26059-020) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2009-08-11 |