NPI | 1710152954 |
---|---|
Doing Business As | RIVER GLEN PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SMRITI KHARE President, Children's Medical Group 414-266-7615 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YP2500X Counselor Professional | |
103TC2200X Psychologist Clinical Child & Adolescent | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology Psychiatry | |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
Enumeration Date | 2008-04-29 |
Last Update Date | 2021-09-27 |