# GREYWOOD HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144851684
- **Authorized official:** DR. TIMOTHY G YOVANKIN MD (COFOUNDER/EXECUTIVE DIRECTOR/CMO)
- **Authorized official phone:** (609) 923-5642

## Contact information

- **Practice address:** 303 W INSTITUTE PL FL 3, CHICAGO, IL 60610-3080
- **Practice address phone:** (312) 952-2396
- **Mailing address:** 640 N WELLS ST APT 703, CHICAGO, IL 60654-3733
- **Mailing address phone:** (609) 923-5642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2020
- **Last updated:** 06/28/2024