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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