| NPI | 1821153594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GEORGE CAUFIELD President 262-492-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1329) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2020-08-22 |