| NPI | 1821003377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD S MALLICK Owner 414-226-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 27719) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-12-01 |