NPI | 1871001289 |
---|---|
Entity Type | Organization |
Authorized Contact | AARTI S. FELDER President/Clinical Director 224-518-4547 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2018-01-19 |
Last Update Date | 2023-01-04 |