| NPI | 1700753746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOGANAND GUNDAMRAJ President & CEO 262-391-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-12-01 |