| NPI | 1497419261 |
|---|---|
| Other Name | DEFINED LJ, INC |
| Entity Type | Organization |
| Authorized Contact | KENNETH MUNNERLYN President 773-730-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2023-09-29 |