| NPI | 1669116810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILVA ELIZABETH VANVALKENBURGH Owner And Psychiatrist 414-885-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-05-02 |