| NPI | 1770997587 |
|---|---|
| Professional Name | CHARLES WISNIEWSKI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS019121) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2018-10-12 |