NPI | 1154002103 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT STEPHAN Owner, Pmhnp 773-923-3543 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-08-09 |