| NPI | 1942508445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CHASE CEO 414-688-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2014-10-08 |