NPI | 1164003190 |
---|---|
Doing Business As | KEYSTONE MENTAL HEALTH |
Other Name | CHICAGO NERD THERAPY, PLLC |
Entity Type | Organization |
Authorized Contact | ERIC KOLL Clinical Social Worker 312-270-0098 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-04-20 |
Last Update Date | 2023-09-20 |