| NPI | 1255045860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYNN J ANDERSON Psychiatric Nurse Practioner 708-299-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-08-08 |