| NPI | 1164092193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL TURNER Psychiatric Nurse Practitioner 708-833-9638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |