| NPI | 1073311858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE PRESUTTI CEO 708-705-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-04-26 |