NPI | 1760020663 |
---|---|
Former Legal Business Name | KENNETH P WIND MD PC |
Doing Business As | BRIGHTSIDE CLINIC |
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 | 2019-12-11 |
Last Update Date | 2023-02-22 |