| NPI | 1760403869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARVIND G. PHANSALKAR Owner 414-771-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WI 20635) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |