NPI | 1508347204 |
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Doing Business As | BRIGHTSIDE CLINIC |
Former Legal Business Name | KENNETH P WIND, MD, PC |
Doing Business As | ASPIRE WELLNESS |
Entity Type | Organization |
Authorized Contact | PHILIP ATTEBERRY CEO 224-205-7868 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-08-22 |
Last Update Date | 2020-11-13 |