NPI | 1013621523 |
---|---|
Entity Type | Organization |
Authorized Contact | WAJAHATUDDIN MACCI Owner 773-817-5928 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2023-01-09 |
Last Update Date | 2023-01-09 |