| NPI | 1144903345 |
|---|---|
| Doing Business As | BLUE KITE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DHRUVIL J PANDYA Pwner 224-522-6618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |