NPI | 1790732410 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GUTZEIT President 414-266-3002 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
122300000X Dentist | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2006-05-28 |
Last Update Date | 2025-05-21 |