| NPI | 1104694389 |
|---|---|
| Former Legal Business Name | PEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC |
| Entity Type | Organization |
| Authorized Contact | BOLANLE AWOTIKU Pmhnp 630-504-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-01-03 |