| NPI | 1700222981 |
|---|---|
| Doing Business As | GREENSQUARE SOUTH |
| Entity Type | Organization |
| Authorized Contact | SMRITI KHARE President, Children's Medical Group 414-266-7615 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |