| NPI | 1528254042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUSHPARANEE BABUSUKUMAR President 262-652-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 33930) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |