| NPI | 1407722119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY ORDUNA SANTOS Pmhnp 847-516-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-11 |
| Last Update Date | 2025-10-11 |