| NPI | 1861218422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI COLLINS Psychiatric Nurse Practitioner 773-395-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-28 |
| Last Update Date | 2024-12-20 |