| NPI | 1568649309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WATLTER T DAVISON President 414-228-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 26727020) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-02-02 |