| NPI | 1568099307 |
|---|---|
| Former Legal Business Name | GREATER HEIGHTS P MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARY ODEFADEHAN Manager 224-659-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-04-07 |