| NPI | 1053064352 |
|---|---|
| Doing Business As | BLUE KITE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DHRUVIL PANDYA President 224-522-6618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-10-30 |