| NPI | 1245912021 |
|---|---|
| Doing Business As | MIZUNO- MOORE PSYCHOTHERAPY & CONSULTING- TOWER 22 |
| Entity Type | Organization |
| Authorized Contact | TAYLOR ANN MOORE Founder, Director 847-372-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |