| NPI | 1841739513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB M BEHRENS Owner 414-909-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 55027-20) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2020-10-14 |