| NPI | 1952955270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY KAFTAN Sole Partner 414-708-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |