| NPI | 1710519335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVIS CEO 312-961-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-10-29 |