| NPI | 1124828215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA PIERRE-GRAY CEO/Psychiatric Nurse Practitioner 708-397-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-05-18 |