| NPI | 1952790107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOBIA KIRMANI-MOE Psychiatrist 608-203-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 57589-20) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-07-22 |