| NPI | 1669814471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY A HOLTZ President 414-810-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2962-57) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |