NPI | 1013747989 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH ZIEBA Director Of Contract And Cred 312-502-1816 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-08-06 |
Last Update Date | 2025-02-24 |