| NPI | 1649046467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAKINA STARR HAYDEN Owner 630-609-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |