| NPI | 1881716108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY CHRISTOPHER RIEMANN Director 262-567-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1853) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-13 |