| NPI | 1396616736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY JORDAN YPYA Nurse Practitioner, Fouder 217-722-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |