Prevail Psychiatry LLC

NPI #1417322868 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1417322868
Entity Type: Organization
Organization Name: Prevail Psychiatry LLC
Primary Specialty: Psychiatry & Neurology - Addiction Medicine
Enumeration Date: Dec 10, 2015
Last Updated: Dec 10, 2015

Practice Location

Address: 2222 N MAYFAIR RD
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-2208
Phone: (262) 716-7580

Authorized Official

Name: JUSTIN HANSON
Title: OWNER
Phone: (262) 716-7580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Addiction Medicine — Addiction Medicine	2084A0401X	Primary

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