| NPI | 1992810667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH C LONG Pediatric Psychologist 414-266-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: WI 2530057) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |