| NPI | 1265115760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARMONY LEE RICH Owner 224-263-4671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2024-08-08 |