NPI | 1003464595 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLYN MARIA GARRETT-WILSON Clinical Director 773-320-9592 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-08-28 |
Last Update Date | 2023-06-23 |