NPI | 1295312221 |
---|---|
Doing Business As | ORCHARD WELLNESS, LLC |
Entity Type | Organization |
Authorized Contact | PAUL CANTZ Founder 847-877-9578 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2021-03-25 |
Last Update Date | 2021-03-25 |