| NPI | 1851809255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN HUBY Owner 773-676-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |