| NPI | 1649978982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT C RAASCH Psychiatric Nurse Practitioner 262-282-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-04-15 |