NPI | 1124361480 |
---|---|
Doing Business As | THE BROWN CLINIC |
Entity Type | Organization |
Authorized Contact | ASHLEY RENEE BROWN Licensed Clinical Social Worker 1618-222-7277 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 149014435) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2016-12-22 |