NPI | 1386324986 |
---|---|
Doing Business As | ESTRELLA COGNITIVE CARE |
Entity Type | Organization |
Authorized Contact | AMANDA GWARDYS-COOK Employee 217-549-2874 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-07-19 |