| NPI | 1659090827 |
|---|---|
| Doing Business As | SPECTRUM OF SMILES |
| Entity Type | Organization |
| Authorized Contact | JASMINE C BANKHEAD CEO 773-606-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-03-28 |