NPI | 1629514120 |
---|---|
Doing Business As | BRIGHTSIDE CLINIC |
Former Legal Business Name | KENNETH P WIND MD PC |
Former Legal Business Name | KENJI OYASU 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 | 2017-01-09 |
Last Update Date | 2020-11-09 |