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Organization
ORCHARD WELLNESS, LLC
Active
Organization
ORCHARD WELLNESS, LLC
Active
Other names
Orchard Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CANTZ PSYD, ABPP (FOUNDER)
(847) 877-9578
Entity
Organization
Contact information
Practice address
9444 KEELER AVE, SKOKIE, IL 60076-1443
(847) 877-9578
Mailing address
9444 KEELER AVE, SKOKIE, IL 60076-1443
(847) 877-9578
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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