| NPI | 1235017989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYATTTA AKINDUNBI Manager 773-216-1364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |