| NPI | 1639211469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LUISA BALDOMERO-CONCEPCION Psychiatrist 920-203-5742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 43051-020) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |