| NPI | 1922267483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M GRADE Psychiatrist 414-270-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 32662) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-06-24 |