NPI | 1013770981 |
---|---|
Entity Type | Organization |
Authorized Contact | LASAUNDRA D GORDON Founder/Owner 708-858-0075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-02-02 |