NPI | 1699524751 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY MEYER President And CEO 262-303-0580 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical | |
2083A0300X Preventive Medicine, Addiction Medicine | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
Enumeration Date | 2024-05-13 |
Last Update Date | 2024-05-13 |