| NPI | 1174974802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPALI GERSHAN Owner / President 224-306-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036139934) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |