| NPI | 1841952413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENIA AKRONG Operations Manager 708-715-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2024-04-04 |