| NPI | 1043930191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA BAUGH Owner 224-489-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-12-12 |