NPI | 1124902895 |
---|---|
Doing Business As | NIQUIE DWORKIN, PHD, SC |
Entity Type | Organization |
Authorized Contact | LISA N DWORKIN-CANTOR President 773-405-7169 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-04 |