NPI | 1265140875 |
---|---|
Doing Business As | DEMA HEALTH |
Entity Type | Organization |
Authorized Contact | CASSANDRA GOVAN CEO 630-880-2150 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2022-11-11 |
Last Update Date | 2024-02-14 |